Journal of IMAB - Annual Proceeding (Scientific Papers) · Published 2026-06-22 · DOI 10.5272/jimab.2026322.6920
Nikoleta Stoyanova, Nikola Popovski, Asparuh Nikolov
Purpose: Posterior Reversible Encephalopathy Syndrome (PRES) is a neurotoxic condition characterized by reversible subcortical white matter and cortical edema, commonly affecting the parieto-occipital regions. Pregnancy, particularly in the context of preeclampsia or eclampsia, represents a significant risk factor for PRES. Material/methods: We report a case of a 26-year-old woman with monochorionic diamniotic twins who developed PRES in the immediate postoperative period following elective cesarean section at 36 weeks of gestation. Despite initial normal blood pressure and laboratory findings, she experienced sudden bilateral vision loss accompanied by confusion. Results: MRI revealed symmetrical occipital cortical hyperintensities consistent with PRES. Intensive management, including antihypertensive therapy and close monitoring, led to full recovery of vision and normalization of MRI findings within one month. Conclusion: This case underscores the importance of prompt recognition and early intervention in PRES, even in normotensive postpartum patients. Awareness of PRES in the context of pregnancy is critical, as timely diagnosis and management significantly improve clinical outcomes and reduce the risk of long-term neurological sequelae.
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Stoyanova, N., Popovski, N., Nikolov, A. (2026). POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME AND PREECLAMPSIA: CASE REPORT AND BRIEF LITERATURE REVIEW. Journal of IMAB - Annual Proceeding (Scientific Papers). https://doi.org/10.5272/jimab.2026322.6920